Fagan, Alvina
Fagan, Alvina is an sole proprietor health care provider with primary practice located at 701 Hewitt Ln Apt 4 , New Windsor NY 12553-5444. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Fagan, Alvina can be contacted via phone (845) 562-2077.Contact Information
Primary practice address
701 Hewitt Ln Apt 4
New Windsor NY 12553-5444
Phone: (845) 562-2077
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Licensed Practical Nurse | 164W00000X | 128466-1 | New York |
Profile Details
NPI number | 1316195183 |
---|---|
LBN Legal business name | Fagan, Alvina |
Credentials | Licensed Practical Nurse (LPN) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 4th, 2008 |
Last updated | Sep 4th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1316195183 | NPPES |
New York | MEDICAID | 008644846 |
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